INTRODUCTION TO CRITICAL CARE
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NURSING 8TH EDITION SOLE KLEIN MOSELEY TEST BANK
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Chapter 1: Overview of Critical Care Nursin
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g Test Bank
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MULTIPLEmCHOICE
1. Whichmofmthemfollowingmprofessionalmorganizationsmbestmsupportsmcriticalmcaremnursingmpractice?
a. AmericanmAssociationmofmCritical-CaremNurses
b. AmericanmHeartmAssociation
c. AmericanmNursesmAssociation
d. SocietymofmCriticalmCaremMedicine
ANS:m A
ThemAmericanmAssociationmofmCritical-
CaremNursesmismthemspecialtymorganizationmthatmsupportsmandmrepresentsmcriticalmcaremnurses.mT
hemAmericanmHeartmAssociationmsupportsmcardiovascularminitiatives.mThemAmericanmNursesmA
ssociationmsupportsmallmnurses.mThemSocietymofmCriticalmCaremMedicinemrepresentsmthemmultipro
fessionalmcriticalmcaremteammundermthemdirectionmofmanmintensivist.
DIF: CognitivemLevel:mKnowledge REF:m p.m4
OBJ:mDiscussmthempurposesmandmfunctionsmofmthemprofessionalmorganizationsmthatmsupportmcriticalmc
arempractice. TOP:m NursingmProcessmStep:mN/A
MSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
2. Amnursemhasmbeenmworkingmasmamstaffmnurseminmthemsurgicalmintensivemcaremunitmform2myearsman
dmisminterestedminmcertification.mWhichmcredentialmwouldmbemmostmapplicablemformhermtomseek?
a. ACNPC
b. CCNS
c. CCRN
d. PCCN
ANS:m C
ThemCCRNmcertificationmismappropriatemformnursesminmbedsidempracticemwhomcaremformcriticallymi
llmpatients.mThemACNPCmcertificationmismformacutemcaremnursempractitioners.mThemCCNSmcertifi
cationmismformcriticalmcaremclinicalmnursemspecialists.mThemPCCNmcertificationmismformstaffmnurse
smworkingminmprogressivemcare,mintermediatemcare,mormstep-downmunitmsettings.
DIF: CognitivemLevel:mApplication REF:m p.m5
OBJ:mmm Explainmcertificationmoptionsmformcriticalmcaremnurses.
TOP:m NursingmProcessmStep:mN/
AmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
3. Themmainmpurposemofmcertificationmismto:
a. assuremthemconsumermthatmyoumwillmnotmmakemammistake.
b. preparemformgraduatemschool.
c. promotemmagnetmstatusmformyourmfacility.
d. validatemknowledgemofmcriticalmcaremnursing.
ANS:m D
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Certificationmassistsminmvalidatingmknowledgemofmthemfield,mpromotesmexcellenceminmthemprofes
sion,mandmhelpsmnursesmtommaintainmtheirmknowledgemofmcriticalmcaremnursing.mCertificationmhelp
smtomassuremthemconsumermthatmthemnursemhasmamminimummlevelmofmknowledge;mhowever,mitmdo
esmnotmensuremthatmcaremwillmbemmistake-
free.mCertificationmdoesmnotmpreparemonemformgraduatemschool;mhowever,machievingmcertificatio
nmdemonstratesmmotivationmformachievementmandmprofessionalism.mMagnetmfacilitiesmaremratedm
onmthemnumbermofmcertifiedmnurses;mhowever,mthatmismnotmthempurposemofmcertification.
DIF: CognitivemLevel:mAnalysis REF:mmpp.m4-5
OBJ:mmm Explainmcertificationmoptionsmformcriticalmcaremnurses.
TOP:m NursingmProcessmStep:mN/
AmMSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
4. Themsynergymmodelmofmpracticemfocusesmon:
a. allowingmunrestrictedmvisitingmformthempatientm24mhoursmeachmday.
b. holisticmandmalternativemtherapies.
c. needsmofmpatientsmandmtheirmfamilies,mwhichmdrivesmnursingmcompetency.
d. patients’mneedsmformenergymandmsupport.
ANS:m C
Themsynergymmodelmofmpracticemstatesmthatmthemneedsmofmpatientsmandmfamiliesminfluencemandmd
rivemcompetenciesmofmnurses.mNursingmpracticembasedmonmthemsynergymmodelmwouldminvolvemtai
loredmvisitingmtommeetmthempatient’smandmfamily’smneedsmandmapplicationmofmalternativemtherapi
esmifmdesiredmbymthempatient,mbutmthatmismnotmthemprimarymfocusmofmthemmodel.
DIF: CognitivemLevel:mApplication REF:m p.m5m|mFig.m1-3
OBJ:m Describemstandardsmofmprofessionalmpracticemformcriticalmcaremnursing.
TOP:m NursingmProcessmStep:mN/A MSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
5. Themfamilymofm yourmcriticallymillmpatientmtellsm youmthatmtheymhavemnotmspokenmwithmthemphysic
ianminmoverm24mhoursmandmtheymhavemsomemquestionsmthatmtheymwantmclarified.mDuringmmorni
ngmrounds,myoumconveymthismconcernmtomthemattendingmintensivistmandmarrangemformhermtommee
tmwithmthemfamilymatm4:00mPMminmthemconferencemroom.mWhichmcompetencymofmcriticalmcaremn
ursingmdoesmthismrepresent?
a. Advocacymandmmoralmagencyminmsolvingmethicalmissues
b. Clinicalmjudgmentmandmclinicalmreasoningmskills
c. Collaborationmwithmpatients,mfamilies,mandmteammmembers
d. Facilitationmofmlearningmformpatients,mfamilies,mandmteammmembers
ANS:m C
Althoughmonemmightmconsidermthatmallmofmthesemcompetenciesmarembeingmaddressed,mcommunic
ationmandmcollaborationmwithmthemfamilymandmphysicianmbestmexemplifymthemcompetencymofmcoll
aboration.
DIF: CognitivemLevel:mAnalysis REF:m p.m9
OBJ:m Describemstandardsmofmprofessionalmpracticemformcriticalmcaremnursing.
TOP:m NursingmProcessmStep:mN/A MSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
6. ThemAACNmStandardsmformAcutemandmCriticalmCaremNursingmPracticemusemwhatmframework
mtomguidemcriticalmcaremnursingmpractice?
a. Evidence-basedmpractice
b. Healthymworkmenvironment
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c. NationalmPatientmSafetymGoals
d. Nursingmprocess
ANS:m D
ThemAACNmStandardsmformAcutemandmCriticalmCaremNursingmPracticemdelineatemthemnursingmpr
ocessmasmappliedmtomcriticallymillmpatients:mcollectmdata,mdeterminemdiagnoses,midentifymexpectedm
outcomes,mdevelopmamplanmofmcare,mimplementminterventions,mandmevaluatemcare.mAACNmprom
otesmamhealthymworkmenvironment,mbutmthismismnotmincludedminmthemStandards.mThemJointmCom
missionmhasmestablishedmNationalmPatientmSafetymGoals,mbutmthesemaremnotmthemAACNmStandar
ds.
DIF: CognitivemLevel:mAnalysis REF:m p.m5m|mBoxm1-2
OBJ:m Describemstandardsmofmprofessionalmpracticemformcriticalmcaremnursing.
TOP:m NursingmProcessmStep:mN/A MSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
7. Themchargemnursemismresponsiblemformmakingmthempatientmassignmentsmonmthemcriticalmcaremun
it.mShemassignsmthemexperienced,mcertifiedmnursemtomcaremformthemacutelymillmpatientmwithmsepsis
mwhom alsomrequiresmcontinuousmrenalmreplacementmtherapymandmmechanicalmventilation.mShem
assignsmthemnursemwithmlessmthanm1myearmofmexperiencemtomtwompatientsmwhomaremmoremstable.
mThismassignmentmreflectsmimplementationmofmthe:
a. crewmresourcemmanagementmmodel
b. NationalmPatientmSafetymGoals
c. QualitymandmSafetymEducationmformNursesm(QSEN)mmodel
d. synergymmodelmofmpractice
ANS:m D
Thismassignmentmdemonstratesmnursingmcaremtommeetmthemneedsmofmthempatient.mThemsynergymm
odelmnotesmthatmthemnursemcompetenciesmaremmatchedmtomthempatientmcharacteristics.mCrewmreso
urcemmanagementmconceptsmrelatedmtomteammtraining,mNationalmPatientmSafetymGoalsmaremspeci
fiedmbymThemJointmCommissionmtompromotemsafemcarembutmdomnotmincorporatemthemsynergymmo
del.mThemQualitymandmSafetymEducationmformNursesminitiativeminvolvesmtargetedmeducationmtomun
dergraduatemandmgraduatemnursingmstudentsmtomlearnmqualitymandmsafetymconcepts.
DIF: CognitivemLevel:mAnalysis REF:m p.m5m|mFig.m1-3
OBJ:m Describemstandardsmofmprofessionalmpracticemformcriticalmcaremnursing.
TOP:m NursingmProcessmStep:mN/A MSC:m NCLEX:mSafemandmEffectivemCaremEnvironment
8. ThemvisionmofmthemAmericanmAssociationmofmCritical-
CaremNursesmismamhealthcaremsystemmdrivenmby:
a. amhealthymworkmenvironment.
b. caremfrommammultiprofessionalmteammundermthemdirectionmofmamcriticalmcaremphysician.
c. themneedsmofmcriticallymillmpatientsmandmfamilies.
d. respectful,mhealing,mandmhumanemenvironments.
ANS:m C
ThemAACNmvisionmismamhealthcaremsystemmdrivenmbymthemneedsmofmcriticallymillmpatientsmandmfa
miliesmwheremcriticalmcaremnursesmmakemtheirmoptimummcontributions.mAACNmpromotesminitiat
ivesmtomsupportmamhealthymworkmenvironmentmasmwellmasmrespectfulmandmhealingmenvironments,
mbutmthatmismnotmthemorganization’smvision.mThemSCCMmpromotesmcaremfrommammultiprofessional
mteammundermthemdirectionmofmamcriticalmcaremphysician.
DIF: CognitivemLevel:mKnowledge REF:m p.m4